Pacifici Edoardo, Chazine Michelle, Vichi Alessandro, Grandini Simone, Goracci Cecilia, Ferrari Marco
J Clin Pediatr Dent. 2013 Winter;38(2):149-54. doi: 10.17796/jcpd.38.2.l3q5l3128k2870j7.
The aim of this study was to evaluate the shear bond strength to dentin of primary molars of a new self-adhering flowable resin composite with two ionomer-based cements and one flowable resin composite in combination with two different adhesive systems.
Fifty primary molars were grinded on the occlusal surface to obtain flat dentin substrate and randomly divided into 5 groups (n = 10): OFL:Phosphoric Acid/Optibond FL/Premise Flow; OAO:Optibond All-In-One/Premise Flowable; II:Polyacrylic Acid/Fuji II; IX:Polyacrylic Acid/Fuji IX; V:Vertise Flow. Cylinders (3mm diameter - 5mm height) of restorative material were built-up in three increments over the dentin surfaces. A shear load was applied until failure. Bond strength values were statistically analysed with Kruskall-Wallis ANOVA followed by Dunn's test (P < .05). Differences in failure mode distribution were assessed with Chi-square (P < .05).
OFL and OAO recorded significantly higher bond strengths than the other groups. Adhesive failures were evident in all groups except OFL and OAO, in which also cohesive failures in dentin were observed.
Vertise Flow established on primary dentin bond strengths values similar to those of glass ionomer cements routinely used for restorations of primary teeth. The combination of flowable resin with etch-and-rinse or all-in-one adhesives obtained higher bond strength values, thus involving a more complex handling.
本研究旨在评估一种新型自粘接可流动树脂复合材料与两种基于离子体的水门汀以及一种可流动树脂复合材料分别与两种不同粘接系统联合使用时,对乳磨牙牙本质的剪切粘接强度。
50颗乳磨牙在咬合面进行打磨以获得平整的牙本质基底,随机分为5组(n = 10):OFL组:磷酸/Optibond FL/Premise Flow;OAO组:Optibond All-In-One/Premise Flowable;II组:聚丙烯酸/Fuji II;IX组:聚丙烯酸/Fuji IX;V组:Vertise Flow。在牙本质表面分三层堆积修复材料圆柱体(直径3mm - 高5mm)。施加剪切载荷直至材料破坏。采用Kruskal-Wallis方差分析及Dunn检验对粘接强度值进行统计学分析(P < 0.05)。采用卡方检验评估破坏模式分布的差异(P < 0.05)。
OFL组和OAO组的粘接强度显著高于其他组。除OFL组和OAO组外,其他各组均可见粘接失败,OFL组和OAO组还观察到牙本质内的内聚破坏。
Vertise Flow在乳牙牙本质上建立的粘接强度值与常规用于乳牙修复的玻璃离子水门汀相似。可流动树脂与酸蚀冲洗或一步法粘接剂联合使用可获得更高的粘接强度值,但操作更为复杂。